Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Urology
Volume 2013, Article ID 989524, 2 pages
http://dx.doi.org/10.1155/2013/989524
Case Report

Ureteric Injury due to the Use of LigaSure

Taranaki Base Hospital, David Street, Westown, New Plymouth 4310, New Zealand

Received 26 June 2013; Accepted 20 August 2013

Academic Editors: M. Perachino and F. Ramezanzadeh

Copyright © 2013 Muazzam Tahir and William Gilkison. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. LigaSure is a bipolar clamping device used in open and laparoscopic surgeries for producing haemostasis in vascular pedicles up to 7 mm in diameter (“Covidien LigaSure technology: consistent, reliable, trusted vessel sealing,” 2012). The use of LigaSure has made securing haemostasis and tissue dissection relatively easy especially in laparoscopic surgery; however, if not used with care it can cause damage to the surrounding structures through lateral spread of energy. Case Report. This case report discusses the induction of a thermal ureteral injury associated with the use of LigaSure. An 80-year-old gentleman was operated for bowel cancer. LigaSure was used for securing haemostasis and tissue dissection. Postoperatively, he was found to have damage to the right ureter secondary to lateral spread of energy from the jaws of LigaSure with high abdominal drain output. Conclusion. Judicious and careful use of electrosurgical devices should be done to prevent inadvertent damage to the surrounding structures. Early recognition and involvement of a urologist can prevent long-term complications.